Individual provider Active NPI

Frank V. Zaccaria, D.C.

  • Chiropractor
  • Lyndhurst, NJ
National Provider Identifier
1467553917
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00131700 Issued in NJ
Practice address
360 Ridge Rd
Lyndhurst, NJ 07071-2212
Phone
(201) 438-2404
Fax
(201) 438-5739
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00131700 NJ Primary

Addresses

Primary practice location

360 Ridge Rd
Lyndhurst, NJ 07071-2212

Mailing address

360 Ridge Rd
Lyndhurst, NJ 07071-2212
Phone (201) 438-2404

Other identifiers 10

IdentifierTypeStateIssuer
0936093OtherNJAETNA
1076624OtherNJNJ HEALTH HORIZON HMO
1163108MedicaidNJ
4066261OtherNJCIGNA HEALTH CARE
460651OtherNJAMERIAHEALTH
FZOX3W0210OtherNJEMPIRE BLUE CROSS BLUE SH
8211-161OtherNJGHI
1006489OtherNJAMERICAN SPECIALTY HEALTH
P538623OtherNJOXFORD
NJ01317OtherNJGUARDIAN HEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000260 NJ Practitioner - Chiropractic 9133207830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 Ridge Rd
Lyndhurst, NJ 07071-2278
Phone (201) 438-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00131700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowlands Chiropractic Center, P.a. Chiropractor CurrentSince Jan 1, 1989 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1467553917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712212",
            "telephone_number": "201-438-2404",
            "fax_number": "201-438-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712212",
            "telephone_number": "201-438-2404",
            "fax_number": "201-438-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARIA",
        "first_name": "FRANK",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00131700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0936093",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH HORIZON HMO",
            "identifier": "1076624",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "4066261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIAHEALTH",
            "identifier": "460651",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "FZOX3W0210",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8211-161",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1006489",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P538623",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN HEALTH NET",
            "identifier": "NJ01317",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.